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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED .3-3/- 0 "3 <br />PLANS REVIEW FEE . <br /> <br />l~ L. 4- <br />3S-2cx- <br /> <br />t/") l> j) e l{ ~ <br />f-eJe I do of <br /> <br />U thi't.~ <br />L~ <br /> <br />PHONE CONTACT 8/3 -2 'IS--li7 75 <br /> <br />OWNER'S NAME <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~m~l4ld ~trdc.. <br /> <br />PARCEL ID # ZL( - cD'- 2 i-067D -O(:)("Jm')-2'ffo (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: jttNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />DSIGN <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />~THER <br /> <br />D COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />CL,<lt\Jf.t't) <br />X. Z 7:- <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE I a <br /> <br />() ( V\ <-t-( vc... tl o-dk + .s h ~J <br />SQUARE FOOTAGE 2_ ""Z D HEIGHT <br /> <br />10 ' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />P(BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />6 rs-S <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />.. PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />,,4 'I'b 2 /'1/ vA! /' //?/ /N /J1~.::.rf <br />,<: x O~ ~ o/'7tJ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUllBBR ~ <br /> <br />SIGNATURE~' , <br />. I <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />COMPANY ,13, /1 ( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />Pi. t/ #11 6//10 <br />u <br /> <br />7. i/2- <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />